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Edgewood Rapid City Llc
Assisted Living Facility in Rapid City, South Dakota
NPI 1972076024

Edgewood Rapid City Llc is an Assisted Living Facility based in Grand Forks, SD. Edgewood Rapid City Llc practices in Rapid City, SD. The NPI Number for Edgewood Rapid City Llc is 1972076024 and holds a License No. (South Dakota).

The current practice location address for Edgewood Rapid City Llc is 4001 Derby Lane, Rapid City, SD and can be reached out via phone at 605-718-3600 and via fax at 701-738-2001.

Location: 4001 Derby Lane, Rapid City, SD, 58201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972076024
Provider Name
Edgewood Rapid City Llc
Credential
Provider Entity Type
Organization
Address
4001 Derby Lane, Rapid City, SD, 58201
Phone Number
605-718-3600
Fax Number
701-738-2001
Provider Enumeration Date
01/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4001 Derby Lane
City
Rapid City
State
South Dakota
Zip
57701
Phone Number
605-718-3600
Fax Number
701-738-2001
person
Provider Business Mailing Address Details
Address
4001 Derby Lane
City
Rapid City
State
South Dakota
Zip
57701
Phone Number
605-718-3600
Fax Number
701-738-2001
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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